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1447023544
LARRY D DAVIS
WOODBRIDGE, VA
NPI
1447023544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: VA 0734005487)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
LARRY D DAVIS
13601 OFFICE PL STE 201
WOODBRIDGE, VA 22192-4213
Phone number: 703-492-8939
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Mailing Address
LARRY D DAVIS
2463 CLOVER FIELD CIR
HERNDON, VA 20171-4313
Phone number: 412-326-5087
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